Provider Demographics
NPI:1821354390
Name:STRAYER, CORINNE E (NP)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:E
Last Name:STRAYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:E
Other - Last Name:TOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1422 OLD WEISGARBER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1293
Mailing Address - Country:US
Mailing Address - Phone:865-558-4400
Mailing Address - Fax:865-558-4471
Practice Address - Street 1:1422 OLD WEISGARBER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1293
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-558-4471
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16573363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528267Medicaid
TN4325730OtherBLUECROSS BLUESHIELD
TN4325730OtherBLUECROSS BLUESHIELD
TN103I503745Medicare PIN
TN103I507444Medicare PIN